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Cardiac tamponades related to interventional electrophysiology procedures are associated with higher risk of short-term hospitalization for pericarditis but favourable long-term outcome
Karolinska Univ Hosp, Sweden; Tech Univ Munich, Germany.
Karolinska Inst, Sweden.
Sahlgrens Univ Hosp, Sweden.
Blekinge Cty Hosp, Sweden.
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2023 (English)In: Europace, ISSN 1099-5129, E-ISSN 1532-2092, Vol. 25, no 6, article id euad140Article in journal (Refereed) Published
Abstract [en]

Aims To investigate the association of iatrogenic cardiac tamponades as a complication of invasive electrophysiology procedures (EPs) and mortality as well as serious cardiovascular events in a nationwide patient cohort during long-term follow-up. Methods From the Swedish Catheter Ablation Registry between 2005 and 2019, a total of 58 770 invasive EPs in 44 497 patients were analysed. From this, all patients with periprocedural cardiac tamponades related to invasive EPs were identified (n = 200; tamponade group) and matched (1:2 ratio) to a control group (n = 400). Over a follow-up of 5 years, the composite primary endpoint-death from any cause, acute myocardial infarction, transitory ischaemic attack (TIA)/stroke, and hospitalization for heart failure-revealed no statistically significant association with cardiac tamponade [hazard ratio (HR) 1.22 (95% CI, 0.79-1.88)]. All single components of the primary endpoint as well as cardiovascular death revealed no statistically significant association with cardiac tamponade. Cardiac tamponade was associated with a significantly higher risk with hospitalization for pericarditis [HR 20.67 (95% CI, 6.32-67.60)]. Conclusion In this nationwide cohort of patients undergoing invasive EPs, iatrogenic cardiac tamponade was associated with an increased risk of hospitalization for pericarditis during the first months after the index procedure. In the long-term, however, cardiac tamponade revealed no significant association with mortality or other serious cardiovascular events.

Place, publisher, year, edition, pages
OXFORD UNIV PRESS , 2023. Vol. 25, no 6, article id euad140
Keywords [en]
Cardiac arrhythmia; Catheter ablation; Cardiac tamponade; Swedish registries
National Category
Cardiac and Cardiovascular Systems
Identifiers
URN: urn:nbn:se:liu:diva-196854DOI: 10.1093/europace/euad140ISI: 001004210600002PubMedID: 37306316OAI: oai:DiVA.org:liu-196854DiVA, id: diva2:1791215
Note

Funding Agencies|Deutsche Forschungsgemeinschaft [OL 605/11]

Available from: 2023-08-24 Created: 2023-08-24 Last updated: 2023-08-24

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Jonsson, Anders Hassel
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